依托咪酯静脉不同速度输注对胸科手术患者麻醉诱导期肌阵挛的影响探究.pdf

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1、论著China&ForeignMedicalTreatment口——誓固—譬■■依托咪酯静脉不同速度输注对胸科手术患者麻醉诱导期肌阵挛的影响探究宋永刚山东省胸科医院麻醉科，山东济南250013【摘要】目的探讨依托咪酯静脉不同速度输注对胸科手术患者麻醉诱导期肌阵挛的影响。方法资料选取2012年1月—2O13年3月该院收治的行胸科手术的男性患者105例，将其平均分为3组，在麻醉诱导期以不同速度静注依托咪酯0_3ms／ks。结果3组患者在即刻注药、注药停止以及停止后2min的心率及经皮脉搏氧饱和度的组间及组内比较，差

2、异无统计学意义。但在停止注药及停止后2min的血压比较，v400组、V800组明显小于V20o组，差异有统计学意义(P<0．05)。3组患肌阵挛的发生率及肌阵挛程度比较，V200组低于V400组、V800组，V400组低于V800组差异有统计学意义c尸：

3、—02TheImpactofIntravenousInfusionofEtomidateatDiferentSpeedsontheMyoclonusofPatientswithThoracicSurgeryDuringtheAnesthesiaInduc—tionPeriodSONGYonggangDepartmentofAnesthesiology，ShandongChestHospital，Jinan，ShandongProvince，250013，China[Abstract]ObjectiveTostu

4、dytheimpaetofintravenousinfusionofEtomidateatdiferentspeedsonthemyoclonusofpatientswiththoracicsurgeryduringtheanesthesiainductionperiod．MethodsThedataof105casesofmalepatientsunderwentthoracicsurgeryinourhospitalfromJanuary，2012toMarch，2013wereselectedanddiv

5、idedinto3groupsequally，andgivenintravenousinfusionofEtomidate0．3ms／ksatdiferentspeedsduringtheanesthesiainductionperiod．ResultsTherewerenostatisticallys喑-nifieantdifferencesinheartrate，percutaneouspulseoxygensaturationbetweenthe3groupsorwithinthegroupattheti

6、meofim—mediateinfusionofdrug,stoppinginfusionofdrug，and2minutesafterthestoppinginfusionofdrug,butcomparingthebloodpressureatthetimeofstoppinginfusionofdrug，and2minutesafterthestoppinginfusionofdrug，thebloodpressureofV400groupandV800groupweremuchlowerthanthat

7、ofV200group，thediferencewasstatisticallysignificantfP

8、ionSlowerinfusionofE—tomidatecanreducetheincidenceandseverityofmyoclonusofpatientswiththoracicsurgeryduringtheperiodofanesthesiainduction．[Keywords]Etomidate；Infusionspeed；Thoracicsurgery；Anesth